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MCQ 19: Spiritual CareA patient in the palliative care unit expresses concerns about the meaning of life and fear of death. What is the most appropriate initial response?A. Immediately call for a chaplainB. Advise the patient to focus on positive thoughtsC. Listen actively and explore the patient's concernsD. Suggest medication for anxietyE. Change the subject to avoid discomfortAnswer: Listen actively and explore the patient's concernsExplanation: The most appropriate initial response to spiritual or existential concerns is to listen actively and explore the patient's thoughts and feelings. This demonstrates respect for the patient's beliefs and allows for a deeper understanding oftheir needs. While involving a chaplain may be helpful, it shouldn't be the immediate response without first exploring the patient's wishes. Advising positive thinking or changing the subject dismisses the patient's concerns. Medication for anxietydoesn't address the underlying spiritual issues.

